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Long-Term Follow-Up in Active Transcutaneous Bone Conduction Implants.

Eleonor Koro1, Elenor Lundgren1, Henrik Smeds2

  • 1Department of Clinical Sciences, Otorhinolaryngology, University of Umeå, Umeå, Sweden.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|December 12, 2023
PubMed
Summary

Active transcutaneous bone conduction implants (atBCIs) offer safe and effective long-term hearing rehabilitation for individuals with single-sided deafness or conductive/mixed hearing loss. These implants significantly improve hearing outcomes and quality of life.

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Area of Science:

  • Otolaryngology
  • Biomedical Engineering
  • Audiology

Background:

  • Hearing loss, including single-sided deafness (SSD) and conductive or mixed hearing loss (CMHL), significantly impacts quality of life.
  • Traditional hearing aids may not be suitable for all types of hearing loss.
  • Active transcutaneous bone conduction implants (atBCIs) offer a potential solution for hearing rehabilitation.

Purpose of the Study:

  • To evaluate the long-term safety and efficacy of active transcutaneous bone conduction implants (atBCIs).
  • To assess the impact of atBCIs on hearing outcomes and quality of life in patients with SSD and CMHL.

Main Methods:

  • A retrospective and prospective clinical study involving 33 subjects across three Swedish hospitals.
  • Data collection included medical record analysis, pure tone and speech audiometry, and the Glasgow Benefit Inventory (GBI) questionnaire.
  • Follow-up duration averaged 124.1 subject-years.

Main Results:

  • Nineteen subjects with CMHL showed significant hearing improvement (26.0 dB functional gain) and enhanced speech recognition in noise (36.5% to 59.1%).
  • Fourteen subjects with SSD/AHL also demonstrated substantial unaided to aided hearing improvement (>100 dB HL to 32.1 dB HL) and improved speech understanding.
  • High mean Glasgow Benefit Inventory scores indicated significant quality of life improvements for both patient groups (31.7 for CMHL, 23.6 for SSD/AHL).

Conclusions:

  • Active transcutaneous bone conduction implants (atBCIs) are associated with a low complication rate.
  • atBCIs provide a safe and effective long-term solution for hearing rehabilitation in patients with SSD and CMHL.
  • The study confirms the benefits of atBCIs for improving hearing function and patient-reported quality of life.